The topic is about someone preparing for two surgeries: one to remove a problematic section of their small intestine and another to remove their rectal stump, also known as a "Barbie-Butt" procedure. These surgeries are necessary due to complications like pain, obstruction, and a fistula causing bleeding and other issues. The person is seeking advice on what to expect from these surgeries and the recovery process.

Here are some helpful insights and advice shared by others who have been through similar experiences:

1. General Recovery Time
- Expect about a month of limited activity after the surgeries. Stitches or staples are usually removed in 6-8 weeks, with a full return to normal life after that.
- Hospital stays might be a bit of a blur due to pain medications, and you might feel fatigued for a few weeks.

2. Pain Expectations
- Most people feel discomfort rather than severe pain after rectal-stump removal. Using a donut cushion for sitting during the first week can help.
- Significant pain is rare unless additional bone removal is needed. It's important to have good pain management from your healthcare team.
- Sitz baths can help relieve soreness in the perineal area.

3. Long-term Function and Activity
- Once healed, many people return to active lives, including work, travel, and sports.
- The perineum heals to a flat appearance, often referred to as a "Barbie butt," and is not noticeable without close inspection.

4. Managing Fistulas and Perineal Wounds
- For fistulas, maintaining good hygiene and taking multiple daily sitz baths can help them close naturally and may reduce the need for further surgery.

5. Eating After Straightening the Bowel
- Although no one specifically mentioned the "Z" repairs, those who had similar bowel surgeries reported being able to enjoy a wide range of foods again once the strictures were removed and inflammation subsided.

6. Practical Tips
- Make sure to arrange for adequate pain medication before the surgery.
- Use cushions for sitting during the initial recovery period.
- Avoid strenuous activities like ballet or hockey until your surgeon gives the all-clear.